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https://www.readbyqxmd.com/read/27858115/-the-new-esc-guidelines-for-acute-and-chronic-heart-failure-2016
#1
C U Oeing, C Tschöpe, B Pieske
The new guidelines for the diagnosis and treatment of acute and chronic heart failure (HF) were presented in May 2016 during the congress of the Heart Failure Association (HFA) of the European Society of Cardiology (ESC) in Florence. An important amendment affects the classification of HF which now differentiates between HF with preserved ejection fraction (HFpEF) and left ventricular EF (LVEF) > 50%, HF with reduced ejection fraction (HFrEF, LVEF < 40%) and the new entity HF with mid-range ejection fraction (HFmrEF, LVEF 40-49%)...
December 2016: Herz
https://www.readbyqxmd.com/read/27755514/-vest-recorder-used-in-diagnostics-of-occasionally-occurring-supraventricular-tachycardia-nearby-sinus-node-a-case-report
#2
Karolina Adamczyk, Beata Średniawa, Katarzyna Mitręga, Stanisław Morawski, Agata Musialik-Łydka, Zbigniew Kalarus
Symptoms such as palpitations, fainting, dizziness and unexplained loss of consciousness are often notified by patients in clinical practice. Cardiological causes of these ailments could be various, inter alia, atriaventricular conduction disorders, supraventricular arrythmias or more life-threatening ventricular arrythmias. Diagnostics of these disorders includes a series of basic non-invasive research and more advanced specialistic methods. Presented case report shows problems of arrythmias diagnostics and imperfections of avaible methods...
September 29, 2016: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/27734440/medical-provider-ballistic-protection-at-active-shooter-events
#3
Jason P Stopyra, William P Bozeman, David W Callaway, James Winslow, Henderson D McGinnis, Justin Sempsrott, Lisa Evans-Taylor, Roy L Alson
There is some controversy about whether ballistic protective equipment (body armor) is required for medical responders who may be called to respond to active shooter mass casualty incidents. In this article, we describe the ongoing evolution of recommendations to optimize medical care to injured victims at such an incident. We propose that body armor is not mandatory for medical responders participating in a rapid-response capacity, in keeping with the Hartford Consensus and Arlington Rescue Task Force models...
2016: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/27340134/a-novel-method-to-estimate-safety-factor-of-capture-by-a-fetal-micropacemaker
#4
Adriana Nicholson Vest, Li Zhou, Yaniv Bar-Cohen, Gerald Eli Loeb
We have developed a rechargeable fetal micropacemaker in order to treat severe fetal bradycardia with comorbid hydrops fetalis, a life-threatening condition in pre-term non-viable fetuses for which there are no effective treatment options. The small size and minimally invasive form factor of our design limit the volume available for circuitry and a power source. The device employs a fixed-rate and fixed-amplitude relaxation oscillator and a tiny, rechargeable lithium ion power cell. For both research and clinical applications, it is valuable to monitor the electrode-myocardium interface in order to determine that adequate pacemaker output is being provided...
July 2016: Physiological Measurement
https://www.readbyqxmd.com/read/27316915/french-intensive-care-society-international-congress-r%C3%A3-animation-2016
#5
(no author information available yet)
No abstract text is available yet for this article.
June 2016: Annals of Intensive Care
https://www.readbyqxmd.com/read/27128405/-evidence-and-evidence-gaps-an-introduction
#6
G Dreier, J Löhler
BACKGROUND: Treating patients requires the inclusion of existing evidence in any health care decision, to be able to choose the best diagnosis or treatment measure or to make valid prognosis statements for a particular patient in consideration of the physician's own expertise.The basis are clinical trials, the results of which are ideally gathered in systematic reviews, rated, summarized and published. In addition to the GCP (Good Clinical Practice)-compliant planning, conducting and analysis of clinical studies it is essential, that all study results are made publicly available, in order to avoid publication bias...
April 2016: Laryngo- Rhino- Otologie
https://www.readbyqxmd.com/read/27004034/reconstruction-of-the-abdominal-wall-in-anatomical-plans-pre-and-postoperative-keys-in-repairing-cold-incisional-hernias
#7
Florina Popa, Oana Rosca, Alexandru Georgescu, Claudio Cannistra
BACKGROUND AND AIMS: The clinical results of the vertical "vest-over-pants" Mayo repair were evaluated, and the risk factors for incisional hernia recurrence were studied. The purpose of this study is to point out the importance of reducing pre and post operative risk factors in the incisional hernia repair process in order to achieve a physiologically normal abdominal wall. METHODS: Twenty patients diagnosed with incisional hernia underwent an abdominal reconstruction procedure using the Mayo (Paletot) technique at Bichat Claude Bernard Hospital between 2005 and 2015...
2016: Clujul Medical (1957)
https://www.readbyqxmd.com/read/26486630/epidemiology-of-heart-failure-with-recovered-ejection-fraction-what-do-we-do-after-recovery
#8
Johny S Kuttab, Michael S Kiernan, Amanda R Vest
Improvement in functional status, long-term survival, and quality of life has always been the goal of therapy in patients with heart failure with reduced ejection fraction. Neurohormonal modulating medications help patients achieve these goals and, in a subgroup of patients, can promote "reverse remodeling" resulting in the recovery of left ventricular systolic function. In the era of durable mechanical support, myocardial recovery that leads to explantation of the ventricular assist device occurs in a minority of cases...
December 2015: Current Heart Failure Reports
https://www.readbyqxmd.com/read/26297571/expedited-programs-for-serious-conditions-an-update-on-breakthrough-therapy-designation
#9
REVIEW
Martin Kwok, Theresa Foster, Michael Steinberg
PURPOSE: Our aim was to describe the regulatory pathways made available by the US Food and Drug Administration (FDA) to expedite the drug development and approval process, with a focus on the benefits and limitations of the Breakthrough Therapy Designation (BTD) pathway. METHODS: Published materials consisting of journal articles, press releases, government documents, and news articles from pharmaceutical publishers were identified through online databases (ie, Medline and Scopus), the FDA website, and Internet search engines (eg, Google)...
September 2015: Clinical Therapeutics
https://www.readbyqxmd.com/read/26153133/eccentric-apical-hypertrophic-cardiomyopathy-unmasked-by-multimodality-imaging-an-uncommon-but-missed-cause-of-out-of-hospital-cardiac-arrest
#10
Eric Towe, Saurabh Sharma, Jeffrey Geske, Michael J Ackerman
A woman in her late 50s experienced a witnessed, sudden out of hospital cardiac arrest. Initial workup included coronary angiography, transthoracic echocardiogram and a CT scan of the chest to rule out pulmonary embolus. She was subsequently discharged home without an implantable cardioverter defibrillator (ICD) or a life vest. On follow-up at another facility, an ICD was placed and a Holter monitor showed no ventricular ectopy. Further transthoracic echocardiographic images were obtained, which were suggestive of apical hypertrophic cardiomyopathy...
2015: BMJ Case Reports
https://www.readbyqxmd.com/read/26097666/pitfalls-in-the-management-of-atlanto-occipital-dislocation
#11
Masahiro Aoyama, Muneyoshi Yasuda, Masahioro Joko, Mikinobu Takeuchi, Aichi Niwa, Masakazu Takayasu
Atlanto-occipital dislocation (AOD) is rarely seen in clinic because it is characteristically immediately fatal. With recent progress in the pre-hospital care, an increasing number of AOD survivors have been reported. However, because the pathophysiology of AOD is not clearly understood yet, the appropriate strategy for the initial management remains still unclear. We report a case of successful AOD treatment and describe important points in the management of this condition. It is important to note that abducens nerve palsy is a warning sign of AOD and that AOD can result in a life-threatening distortion of the arteries and the brain stem...
June 2015: Asian Spine Journal
https://www.readbyqxmd.com/read/25953697/advanced-stage-d-heart-failure-a-statement-from-the-heart-failure-society-of-america-guidelines-committee
#12
James C Fang, Gregory A Ewald, Larry A Allen, Javed Butler, Cheryl A Westlake Canary, Monica Colvin-Adams, Michael G Dickinson, Phillip Levy, Wendy Gattis Stough, Nancy K Sweitzer, John R Teerlink, David J Whellan, Nancy M Albert, Rajan Krishnamani, Michael W Rich, Mary N Walsh, Mark R Bonnell, Peter E Carson, Michael C Chan, Daniel L Dries, Adrian F Hernandez, Ray E Hershberger, Stuart D Katz, Stephanie Moore, Jo E Rodgers, Joseph G Rogers, Amanda R Vest, Michael M Givertz
We propose that stage D advanced heart failure be defined as the presence of progressive and/or persistent severe signs and symptoms of heart failure despite optimized medical, surgical, and device therapy. Importantly, the progressive decline should be primarily driven by the heart failure syndrome. Formally defining advanced heart failure and specifying when medical and device therapies have failed is challenging, but signs and symptoms, hemodynamics, exercise testing, biomarkers, and risk prediction models are useful in this process...
June 2015: Journal of Cardiac Failure
https://www.readbyqxmd.com/read/25875079/the-life-and-significance-of-charles-lucas-1713-1771
#13
J Kelly
Charles Lucas (1713-1771) was one of the most controversial popular politicians to stride the Irish political stage in the eighteenth century. Though the descendant of a beneficiary of the Cromwellian plantation, Lucas's personal inheritance was small, and he was apprenticed in his teens to an apothecary in Dublin. Lucas prospered in that capacity, both as an advocate of higher standards within the profession, and as a representative on the lower house (the common council) of Dublin Corporation. Predisposed to challenge what he perceived as abuses by vested and established interests, Lucas made a name for himself as an outspoken critic of the oligarchical pretensions of the lord mayor and aldermen, which comprised the upper chamber of the Corporation...
September 2015: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/25791238/age-dependency-of-cardiac-and-neuromuscular-findings-in-adults-with-left-ventricular-hypertrabeculation-noncompaction
#14
Claudia Stöllberger, Gerhard Blazek, Martin Gessner, Katharina Bichler, Christian Wegner, Josef Finsterer
Left ventricular hypertrabeculation/noncompaction (LVHT) is diagnosed in all ages and is frequently associated with neuromuscular disorders (NMDs). The aim of the study was to compare patients with LVHT depending on age at diagnosis. Included were 232 patients with LVHT (72 women, mean age 52±17 years) diagnosed from 1995 to 2014 at 1 echocardiographic laboratory. In 2014, their survival was assessed. Seventy-six percent of the patients were neurologically investigated, revealing specific NMDs in 18%, unspecific NMDs in 60%, and normal findings in 22%...
May 1, 2015: American Journal of Cardiology
https://www.readbyqxmd.com/read/25597835/anxiety-among-individuals-with-visual-vertigo-and-vestibulopathy
#15
COMPARATIVE STUDY
Oz Zur, Gila Schoen, Ruth Dickstein, Jacob Feldman, Yitshal Berner, Elizabeth Dannenbaum, Joyce Fung
PURPOSE: Visual vertigo (VV) is a type of dizziness triggered by visual stimuli. Despite a high incidence, its relationship with anxiety is not well-defined or understood. This study evaluated anxiety levels in subjects with VV compared to vestibulopathic subjects without VV and healthy individuals. METHODS: A cross-sectional study to evaluate anxiety among individuals with VV was conducted twice. The first study included 72 participants (66 to 83 years of age) from senior residential centers...
2015: Disability and Rehabilitation
https://www.readbyqxmd.com/read/25579693/exercises-including-weight-vests-and-a-patient-education-program-for-women-with-osteopenia-a-feasibility-study-of-the-osteoactive-rehabilitation-program
#16
Kari Anne Hakestad, Monica Klungland Torstveit, Lars Nordsletten, Åsa Christina Axelsson, May Arna Risberg
STUDY DESIGN: Prospective case series with 1-year follow-up. OBJECTIVES: The primary aim was to describe the OsteoACTIVE rehabilitation program and evaluate its feasibility in terms of progression, adherence, and adverse events in patients with low bone mineral density (BMD) and a healed forearm fracture. The secondary aim was to assess changes in measures of function and quality of life. BACKGROUND: Previous studies have shown benefits of weight-bearing activities, resistance exercises, and balance and coordination training for women with low BMD and older adults...
February 2015: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/25452381/contesting-epistemic-authority-conspiracy-theories-on-the-boundaries-of-science
#17
Jaron Harambam, Stef Aupers
Conspiracy theories are immensely popular today, yet in the social sciences they are often dismissed as "irrational," "bad science," or "religious belief." In this study, we take a cultural sociological approach and argue that this persistent disqualification is a form of "boundary work" that obscures rather than clarifies how and why conspiracy theorists challenge the epistemic authority of science. Based on a qualitative study of the Dutch conspiracy milieu, we distinguish three critiques that are motivated by encounters with scientific experts in everyday life: the alleged dogmatism of modern science, the intimate relation of scientific knowledge production with vested interests, and the exclusion of lay knowledge by scientific experts forming a global "power elite...
May 2015: Public Understanding of Science
https://www.readbyqxmd.com/read/25374828/residual-urinary-output-in-high-body-mass-index-individuals-on-chronic-hemodialysis-a-disregarded-life-vest
#18
Hernán Trimarchi, María S Raña, Alejandra Karl, José Andrews, Mariana Dicugno, Vanesa Pomeranz, Pablo Young, Mariano Forrester, Mirta Alonso, Fernando Lombi, Alexis Muryan
AIM: To assess residual diuresis and diverse variables according to body mass index (BMI). METHODS: Cross-sectional study (n = 57), with 3 groups. Group A: BMI < 25, n = 22; Group B: BMI 25-30, n = 15; Group C: BMI > 30, n = 20. Diuresis, hematocrit, albumin, C-reactive protein, Malnutrition inflammatory score, Pro-BNP, Troponin T, leptin and insulin levels are expressed as median and ranges (r). RESULTS: Albumin (g/dL): GA vs GC, 3...
November 6, 2014: World Journal of Nephrology
https://www.readbyqxmd.com/read/25323108/incretin-related-drug-therapy-in-heart-failure
#19
REVIEW
Amanda R Vest
The new pharmacological classes of GLP-1 agonists and DPP-4 inhibitors are now widely used in diabetes and have been postulated as beneficial in heart failure. These proposed benefits arise from the inter-related pathophysiologies of diabetes and heart failure (diabetes increases the risk of heart failure, and heart failure can induce insulin resistance) and also in light of the dysfunctional myocardial energetics seen in heart failure. The normal heart utilizes predominantly fatty acids for energy production, but there is some evidence to suggest that increased myocardial glucose uptake may be beneficial for the failing heart...
February 2015: Current Heart Failure Reports
https://www.readbyqxmd.com/read/25202270/utilization-of-central-nervous-system-resources-for-preparation-and-performance-of-complex-walking-tasks-in-older-adults
#20
David J Clark, Dorian K Rose, Sarah A Ring, Eric C Porges
INTRODUCTION: Walking in the home and community often involves performance of complex walking tasks. Understanding the control of such tasks is crucial to preserving independence and quality of life in older adults. However, very little research has been conducted in this area. Here, we assess the extent to which two measures of central nervous system (CNS) activity are responsive to the challenges posed by preparation and performance of complex walking tasks. Prefrontal cortical activity was measured by functional near-infrared spectroscopy (fNIRS) and sympathetic nervous system arousal was measured by skin conductance level (SCL)...
2014: Frontiers in Aging Neuroscience
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